Stop, Collaborate, and Listen!: The Effect of Collaboration on Innovation and Policy in Medicaid Reform as Applied to the Illinois SMART Act and the New York Approach
MetadataShow full item record
Recently, both Illinois and New York found themselves between a rock and a hard place as they were forced to choose where to save on providing vital medical services for their aging and poor residents. In order to cut their bloated budgets, the states took two approaches yielding vastly different results. After a brief background on Medicaid, the Illinois SMART Act, New York’s reform model, and collaboration theory, this Legislative Note compares the approaches in Illinois and New York and seeks to explain why they yielded different results by applying collaboration theory to Medicaid reform. This Note argues that the SMART Act demonstrates the adverse effects of a top-down, non-collaborative approach to legislation when compared to the New York Model, which made similarly sweeping cuts while collaborating with interested parties. The juxtaposition of the Illinois and New York approaches dictates that state leaders would best serve their constituents by utilizing collaboration and constant communication whenever possible.